Registered Massage Therapy


                                     Hands By The Sea Massage Therapy Restart Plan 2020

 

July 4th, 2020

Dear Patients,

    We want to tell you how much we have missed you over the past 4 months. We are so happy to announce that we will be gradually re-opening our doors  for treatments to resume over the next few weeks. We have taken many precautions and put new measures in place to ensure we can safely provide Massage Therapy. We have many new standards and protocols you will need to be aware of and comply with for us to safely be able to offer you Massage Therapy going forward..

 Feel free to read the entire document for our complete strategy. Here are some of the key points of that strategy.

Scheduling

 Our therapists will be managing their schedules and rescheduling missed appointments from March, April and May. Please be patient with us as we navigate this and understand that we are doing our best.  Our online booking is not available yet, but we will open this back up once we have caught up. Please note that the timing of your appointments will likely need to be adjusted to our new hours to accommodate extra cleaning and sanitation practices between patients.

What you need to know about our process for your appointments:

● We will email you a Covid-19 questionnaire and consent to treatment that must be filled out before to confirm you are symptom free and have not been exposed to anyone who may or is a confirmed case of Covid-19

Being honest about your health, it will help protect us all. As well as we are a home-based business, we truly need you to be aware of what that means for not only us but for our family. If any changes occur in your health from the time you complete this questionnaire/consent and your appointment time, we require you to notify our clinic. You will not be charged a late cancellation fee.


● We will be pre-screening you multiple times before your treatment, this is required to receive treatment and if you present with symptoms or do not complete the pre screenings your appointment will be cancelled or rescheduled.

We ask that you wear a mask entering our space and leaving our space. Please bring your own and wear it to your appointment. Reusable masks or disposable are acceptable, but we do ask that it is clean. During treatment, your therapist will ask you to wear your mask for the duration of the treatment. You will not be required to wear your mask when in the supine (lying on stomach) position. If you forget your mask, we will have disposable masks available for you.

●Your therapist will discuss what personal protection equipment they will be wearing, and we have more options for more protection if you would like more to make you feel more comfortable receiving treatment (ex goggles, gloves)

 

Please do not show up early to your appointments. We ask that you text us when you arrive. We will text you back and invite you in when we are ready for you.

 

Hand washing or sanitizer must be used when entering our clinic. Our therapist will be diligently washing their hands and practicing the best hygiene practices for your safety.

● We have eliminated our usual waiting room space. Patients for Jana Asman will enter through the original entrance to the clinic. Patients for Andreas Weaver will enter directly into the treatment space via the door immediately to the right at the bottom of the stairs.

● There will be no paper receipts issued at this time. You will be emailed your receipt.

We ask that you attend treatments alone. No additional people in the clinic space or treatment room.

 

 

If you are anyone in your household is immune compromised, we would recommend holding off on treatments at this time. Although we are taking every precaution to do our due diligence to clean, sanitize and stop the spread of Covid-19, we can not completely guarantee that you will not come in contact with it while receiving treatment. In the consent to treatment during Covid-19, you agree that you are aware of these risks and consent to receiving treatment despite the risk involved.

We know this is a lot and we completely understand that not everyone will be comfortable with these new measures we have in place. We do ask that if you do not plan to comply with our above changes or feel they are not important, that you respect our decision that this is how we plan to operate. We see this as our best course of action based on the requirements of our Health Authorities and our The College of Massage Therapists of British Columbia. Thank you for understanding and we are happy to answer any questions, comments or concerns you may have and they can be addressed to Andreas Weaver or Jana Asman by email to handsbythesearmt@gmail.com.

             

 

 

 

 

 

                                                 Restart Plan 2020

The overall aim of these protocols is to reduce potential coronavirus transmission by:

Posting notices relative to Covid 19 on our website and online booking site
Required ongoing self-assessment for signs of Covid-19 related illness in both the patient and the therapist
Reducing all physical, non-treatment related interactions amongst all people within the practice environment
Hand hygiene requirements
Avoiding face touching
Enhanced cleaning protocols
Appropriate use of personal protective equipment (PPE)
Meeting professional obligations, particularly related to informed consent and liability    insurance
Self-Assessment for Symptoms of Covid-19: For Patients & Therapists
Pre-Screening / Prior to
Patients will be informed about their responsibilities at the time of booking. The online booking software will send them a copy of these protocols as part of a Covid-19 specific consent form they will be required to sign electronically, prior to arriving at their appointment.
One day prior to their booked appointment, the patient will be required to complete an online BC COVID-19 pre-screening which their therapist will send through Jane.

Symptom Self-Assessment tool and to stay home if they experience any symptoms of Covid-19.

The tool can be found here: https://bc.thrive.health/covid19/en
 The therapist will contact the patient prior to their appointment as booked to discuss using the self-assessment tool, and to verify that it has been done.
The therapist will use the BC COVID-19 Self-Assessment tool herself, daily and commits to canceling all appointments if symptoms appear.
 Symptoms of Covid-19 are similar to other respiratory illnesses and seasonal allergies. An appointment must be cancelled immediately if either the patient or the therapist presents with even mild symptoms that may be signs of Covid-19 including:

 

Fever
Cough
Chills
Shortness of breath
Sore throat or pain with swallowing
Stuffy or runny nose
Loss of sense of smell 

Headache
Muscle aches
Fatigue
Loss of appetite

 

 

Covid-19 Symptoms may range from mild to severe. Patients are required to cancel appointments if they have any of the above symptoms or if what they determine to be ‘just the sniffles,’ ‘seasonal allergies’ or ‘just feeling under the weather,’ on the day of their appointment.
Patients must confirm that they have not been in contact with anyone displaying illness, or signs and symptoms of Covid-19 within 14 days prior to their treatment.
The patient will be required to sign a consent and liability waiver.
As a part of the consent form, patients must commit to understanding that while we have taken all possible measures to minimize risk of viral transmission, the nature of Massage Therapy means that physical distancing is not possible in the treatment room. We are taking all possible precautions to eliminate the risk, but that patient is aware that there is still a chance of transmission.
Patients with higher risk profiles and/or weakened immune systems should consider alternatives for care and postpone treatment.
The therapist and patient must agree that the therapeutic benefit of Massage Therapy outweighs any potential consequence of treatment, including the possibility of viral transmission.
Patients who develop even mild illness or symptoms must cancel booked appointments, even without notice.
They will not be charged a late cancellation fee if they cancel due to illness.


Scheduling

Our priority is to catch up and reschedule patients that had appointments cancelled in March, April and May 2020.

We will call you to book/ reschedule your appointments
We will open our online booking in a few weeks time when we have caught up on our scheduling and can ensure the right measures and time frames are in place to keep our team and clients safe
If you are a new patient looking to get in, we would love to see you but please be patient with us as we catch up on our previously cancelled patients that have been waiting for months as well. We will schedule you as soon as possible.
If you still have appointments coming up, we will call you to confirm the time and that you are not experiencing any symptoms etc.
Pre-booked upcoming appointments may need to be rescheduled to reflect your therapist's changes in schedule to take into consideration more time for the cleaning and sanitation process. Please have patience with us and we will make sure to get everyone scheduled back in as quickly as possible.

 


Upon Arrival

We are asking all patients to wait in their car until the time of their appointment. Please do not come early. We have eliminated our waiting room to further enhance safety protocols at this time.
At the start time of your appointment please come to the clinic door and your therapist will greet you. Please do not touch the door handles or other surfaces at this time as we are required to open and close all doors for you. We will then escort you to your treatment room.
Masks must be worn at all times within the clinic space. If the patient has a mask, they are asked to bring it with them and wear it when they arrive. If the patient does not have a mask, a single-use mask will be provided, and they will be asked to wear it upon entering the clinic space. This will protect our team from transmission.
Please do not bring loved ones with you to you your appointment at this time.
The therapist will advise the patient of their current results from online BC COVID-19 Symptom Self-Assessment tool.
Patients will be asked to confirm their own current results from online BC COVID-19 Symptom Self-Assessment tool.
Patients must confirm that they have done a pre-screening and have no signs of Covid-19 as outlined here: http://www.bccdc.ca/health-info/diseases-conditions/covid-19/about-covid-19/symptoms
Patient must confirm that they have not travelled outside British Columbia within 14 days prior to their appointment and will be asked about travel outside of the Vancouver Island Heath Region. Appointments will be cancelled immediately if the patient does not meet the pre-screening criteria upon physical presentation at the clinic. This is at the professional discretion of the therapist to act the best interest of our team and the community and decreasing the risk of transmission.

Physical Distancing

       Entry into Clinic Space

Only 2 patients/persons are permitted in the clinic space at any given time. Patients must arrive unaccompanied.
The therapist and the patient will both maintain a space of 2 meters (6 feet) distance between each other in all clinic areas that are outside the treatment room.
All fabric chairs etc. have been removed and replaced with chairs that can be wiped down for sanitation.
Patients are asked to leave immediately once their treatment session is complete.

Tea, water and magazines have all been removed from the clinic space. You may ask your therapist for water. They will provide you water in a disposable cup.

Nothing remains in the clinic space that cannot be disinfected.
Appointment times are scheduled to reduce the potential of patients crossing paths, and to allow for time in-between sessions for enhanced cleaning.
Patients are asked to arrive on time and not early or late for appointments.
Patients are required to wait in their vehicles or outside the clinic until the time that their therapist is ready for them and will open the door for them to enter.

 

The clinic door will be opened for the patient by the therapist and will be locked behind them to prevent anyone else from entering the space during their treatment. The clinic door will be re-opened by the therapist at the end of the appointment for the patient to leave without touching the doorknob.

Within the Treatment Room

It is not possible to maintain physical distancing while in the treatment room.
Patients will be asked to bring as little as possible with them to the appointment.
Patients will be asked to remove from the clinic everything that they bring with them.
Our payment and billing will be electronic. We will no longer be accepting cash or cheque at this time.
After your payment is complete and you have booked ahead or have confirmed your appointments and follow up, your therapist will open the door for you to exit.

Restroom Patient Use

The restroom has been equipped with paper towels and proper handwashing guidelines.
Soap and fresh paper towels for drying will be available at all times.
Please leave the restroom door open after use. It is recommended that patients may use a paper towel to open the door, and then discard of it before re-entering the clinic space.

Hand Hygiene

Immediately upon entering the clinic space the patient must either:
 Use hand sanitizer that is provided or go directly to the handwashing sink without touching anything inside the clinic and wash their hands with soap and water for at least 20 seconds and then dry thoroughly.
The therapist will wash hands thoroughly for at least 20 seconds between patients, before and after disinfecting spaces, before donning gloves and after taking gloves off, and before donning or doffing other PPE like face masks or shields.
Hand washing protocols will be posted visibly in the relevant areas and at sinks.
A wireless Point of Sale system with Tap is available for card use. In the event that this does not work, and invoice may be emailed to the patient in order that they pay it via interac email transfer. The POS machine will be sanitized between each patient.
Receipts will be emailed, not printed.

 

In the Treatment Room

The therapist will open the door to the treatment room and allow the patient to enter. The therapist will open/close the door before, during and after the treatment as required – reducing the need for the patient to touch the door.

Tissue is available inside the treatment room that the patient may use as a barrier when opening the door.
Hand sanitizer is available within the treatment room; patients will be asked to wash or sanitize their hands before the treatment.
The door and doorknobs will be disinfected between each patient.

Avoid Face Touching

The therapist will communicate with the patient that coronavirus can be transmitted by touch if droplets are on the hand when it touches the face, as it can transfer those infected droplets to the mouth, nose or eyes.
Tissue will be available throughout the clinic, the treatment room and washroom in order that patients and the therapist may use tissue to address an itch and/or touch the face for any other reason.
The therapist will wear a mask at all times.
Patients are required to wear face masks that always cover both the nose and mouth within the clinic space.
Intra-oral TMJ treatments will not be conducted at this time.

Enhanced Cleaning

Additional time has been scheduled between patients to allow for thorough cleaning of the treatment room. (30 minutes)
All surfaces will be cleaned/disinfected with a Canada Health Approved for use against Covid- 19 disinfectant as listed here: https://www.canada.ca/en/health-canada/services/drugs-healthproducts/disinfectants/co vid-19/list.html
Common areas will be cleaned and disinfected including the restroom.
All high touch surfaces will be cleaned and disinfected between patients regardless of appearances.

High touch surface includes: Light switches, doorknobs, POS machine, electronic devices, table surfaces, chairs, stools, window coverings, faucets, etc.
 The treatment table, table levers, face cradle, lotion bottles will be disinfected immediately after each treatment.
 All linens, including blankets and pillowcases are single use only and will be laundered using high heat and disinfecting detergent

 

Personal Protective Equipment

The therapist will wear a face mask at all times while working with a patient.
The therapist’s face mask will be changed in between appointments.
The therapist with be changing to new, clean clothes for each patient.
The therapist will wear non-latex gloves if/when appropriate.

Gloves may be appropriate when over-use of cleaning and/or chemicals causes skin irritation, or when the therapist’s hands or skin of the hands are otherwise inured.
Hands will be washed prior to putting the gloves on and immediately after removing them.
Gloves are also considered appropriate and will be worn by the therapist at the patient’s request.
Patients are required to wear a clean face mask that, does not have an exhalation valve, in the clinic at all times.
If patients have their own fabric face mask, they are requested to clean it prior to use, and to arrive at the clinic wearing it.

If patients do not have a fabric face mask, a single-use non-medial mask will be provided at the time of their treatment.

Professional Obligations

Liability Insurance

The therapist carries professional liability insurance through Wilson M. Beck as provided through the Registered Massage Therapist Association of BC.
The therapist is following all the health and safety guidelines outlined by the Registered Massage Therapists Association of BC, the College of Massage Therapists of British Columbia, WCB and the Provincial Health Officer and that they are taking all reasonable precautions to clean and disinfect the clinic and all the surfaces within the treatment room.
No guarantees have been made by the therapist, that the patient may not come in contact with COVID-19 at or during an appointment.

If a Patient Tests Positive for Covid-19 Having Been to a Massage Therapy Appointment within the 14- days Prior to Onset of Symptoms

• The patient will contact the therapist and inform them of positive test results and possible transmission of the virus immediately.

 

If a Patient Alleges, they Caught COVID-19 from the Therapist

• The therapist will immediately call public health at 8-1-1 to report the alleged transmission, providing both the name of the RMT and the name and contact details of the patient.

• The patient must agree to the release of this information under these circumstances in order to receive treatment.

• All massage therapy appointments will be cancelled for all Massage Therapists and the Clinic will cease to provide services until Public Health has investigated and provided direction.

• The therapist will immediately self-isolate until Public Health has investigated and provided direction.

 

If the Therapist Catches COVID-19 or Displays Symptoms of Covid-19

• The therapist will immediately self-isolate.

• The therapist will call public health at 8-1-1 to report the symptoms and request access to Covid-19 testing.

 

 If testing is required

All massage therapy appointments will be cancelled, and the Clinic will cease to provide services until test results are returned negative.
If testing proves positive the therapist will follow Public Health directives in informing patients treated over the previous 14 days about potential transmission.

If testing is not required:

All Massage Therapy appointments will be cancelled, and the Therapist will cease to provide services for a minimum of 10-days beyond the onset of symptoms, and/or until symptoms cease.

 

If the Therapist Comes into Close Contact with Someone Showing Signs of Illness or Tests Positive for Covid-19

The therapist will immediately self-isolate.
All appointments will be cancelled, and the Clinic will cease to provide services until:
The close contact has been tested for Covid-19 and the results proved negative and the therapist is well,
OR after self-isolating for 14 days and having no symptoms of fever develop.
OR being cleared by a public health official.

Asymptomatic Spreaders

Asymptomatic transmission of the coronavirus is an unavoidable risk of practice until we have acquired herd immunity or there is an effective treatment or vaccine against Covid-19.
We have put into place protocols to help mitigate that risk as outlined in the preceding documentation.
No guarantees have been made by the therapist, that the patient may not come in contact with COVID-19 at or during an appointment.

Informed Consent

In the current environment of Covid-19 risk, informed consent requires that the patient be informed and understands that:

Any massage or acupuncture treatment involves some risk of Covid-19 transmission.
The therapist is following protocol to help reduce or mitigate risk where possible, but that risk cannot be reduced to zero.
The patient consents to the treatment despite some risk, and the RMT will document the patient’s consent in advance and at every treatment.
 

These protocols and procedures are in place based on our current research and requirements of the College of Massage Therapists of British Columbia he registered Massage Therapist’s Association of British Columbia, Workers Compensation Board and the BC Public Health Authority. They will change and adapt as more information and restrictions lessen or increase. The guidelines are meant to protect both therapist and patients from the further spread of Covid-19. The safety and health of our community is top priority for our team, and we will do our due diligence to protect our clients and team. If you are not comfortable with the above requirements to receive your treatment than we request that you wait to receive a treatment when these guidelines have changed. By consenting to these guidelines, you are also doing your part to keeping our team and community safe.

Thank you for adapting with us and we look forward to seeing you soon.